Individual provider Active NPI

Robert A. Loeb, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1730110966
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0022792 Issued in MD
Practice address
1105 N Point Blvd
Suite 323
Baltimore, MD 21224-3419
Phone
(410) 282-5954
Fax
(410) 282-3080
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0022792 MD Primary

Addresses

Primary practice location

1105 N Point Blvd
Suite 323
Baltimore, MD 21224-3419

Mailing address

1105 N Point Blvd
Suite 323
Baltimore, MD 21224-3419
Phone (410) 282-5954

Other identifiers 3

IdentifierTypeStateIssuer
407221900 772411000MedicaidMD
R589 0002OtherDCCAREFIRST
DC6317 P0021234OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026001002 MD Practitioner - Ophthalmology 5092855361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barenburg Optical Service, IncGroup PAC ID 4880582980, 12 clinicians

Practice addresses (Care Compare)

100 Park Ave
Baltimore, MD 21201-3416
Phone (410) 727-0285

1003 N Point Blvd
605 Barenburg Eye Associates
Baltimore, MD 21224-3662
Phone (410) 282-5544

1829 Reisterstown Rd
Suite 210
Baltimore, MD 21208-7105
Phone (410) 653-0200

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0022792MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barenburg Optical Service, Inc CurrentSince Dec 1, 2014 Accepting new patients

Locations

1003 Northpoint Blvd
Ste 605
Baltimore, MD 21224
Phone (410) 282-5544

100 Park Ave
Baltimore, MD 21201
Phone (410) 727-0285

1105 N Point Blvd
Ste 323
Baltimore, MD 21224
Phone (410) 282-5544

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1730110966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD",
            "address_2": "SUITE 323",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243419",
            "telephone_number": "410-282-5954",
            "fax_number": "410-282-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N POINT BLVD",
            "address_2": "SUITE 323",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243419",
            "telephone_number": "410-282-5954",
            "fax_number": "410-282-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0022792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407221900  772411000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "R589  0002",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC6317  P0021234",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.